2004-800 TOWN OF QUEENSBURY FILE COPY
742 Bay Road,Queensbury,'NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040800 Date Issued: Tuesday, November 02, 2004
This is to certify that work requested to be done as shown by Permit Number P20040800
has been completed.
Tax Map Number: 523400-296-011-0001-010-000-0000
Location: 66 BROWNS Path
Owner: FRANK& CATHERINE ROLAND
Applicant: FRANK& CATHERINE ROLAND
This structure may be occupied as a:
By Order of Town Board
Shed/ Storage Sheds TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbuiy,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040800 Application Number: A20040800
Tax Map No: 523400-296-011-0001-010-000-0000
Permission is hereby granted to: FRANK K CATHF.RTNF R0T,AND
For property located at: 66 BROWNS Path
in the Town of Queensbury,to construct or Place:at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: FRANK& CATHERINE ROLAND
3502 LAKE SHORE Dr Shed/Storage Sheds $5,000.00
UNIT 1 Total Value $5,000.00
LAKE GEORGE, NY 12845-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
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I
Plans&Specifications
2004-800
160 SQ FT STORAGE SHED
i
$20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, October 25, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before. irJ' �4."y
e.)
Dated at the Town of Queensbury0 t e�''2S;2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Buii(Ung Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761.8256
A permit must be obtained before beginning construction. Permit File.No.QC2YQ -g�6
No inspection will be made until applicant has received a Fee Paid $ �f,, -,P- _r
valid building permit. All applicants' spaces on this Roc.Fee Paid $ dC Co
application must be completed and must appear on the Reviewed B)r
application form.
Applicant: il7/\k 4 L4Pf)4ke Rok.,e-L Owner. Y ekes,ke_ 1a,all__
Address: / Address: l hn6 112f
cJno CSeG ell
17i�vJ c u /a-�?'
Phone#(_) - Phone#(,)
Property Location: Lot Number: / House Number ,
Sub division Name•_IV-, uw re)-,.5 Tax Map Number: 9
I�W Zaw.� SQL-(R S 3 a&, 12:av�
5
�o New Building: residence /commercial 'Estimated Market Value of Construction:$
!o Addition: residence/ commercial if an Addition,what will use of new addition be?
a Alteration: residence/ commeroial
0 YP change to exterior size: rest enee/com+l
ther work(describe r
i
Check Occupancylnformati0 1 Floor 2° Floor Other floor Total
Below sq.ft. sq.ft, sq.ft. Square Feet
0 Single thmil dwellin
o Two family dwelling
e Townhouse
t, Multifamily dwelling
#of units
o Office 14-R
o Mercantile
o :mMufactutin
0 1 cardefaehed samge r no ce-n
0 2 oar detached R1 HI i Ur c
0 3 car detached prage .
0 1 oar Attached garage
0 2 car attached pmge
G 3 car attached garage
o Storage building-
co ercial.
ge building- ,
residential
o Other7777
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fir'entaees to be installed Number of WoodtgYa to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address, Phone Number
Builder ,
Plumber
Im"on -
Electrician
�: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
ptovisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an&Built Survey by a licensed surveyor,drawn to scale,showing actual
location of w cons n.
Si turc• w�• ` +
S &wner,owners agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
�r1
Office No. (518)761-8256 A /U✓ �� Arrive: am/pt De art: 0� r m/pm
Date Inspection request received: �1/ Inspector's Initials: 1 v
NAME: Z PERMIT#:
LOCATION: ,A DATE:
TYPE OF STRUCTURE: i
omments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs, decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %z" /
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall 01
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade i
Gas Furnace shut-off within 30 ft. or within line of site j
Oil Furnace shut-off at entrance to furnace area /
Furnace/Hot Water Heater operating
Low water shut-off boiler /
Relief Valves installed/Heat Trap/Water Ten3 10
Interior privacy/trim/doors/main entrance Y6 n.
Bathroom/Kitchen watertight /
Safety glazing/Window in stairwells safer lazing
Interior Smoke Detectors:
Every level: / Every Bedroo
Outside every bedroom area:
Inter Connected: / Batter acku :
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping f' shed basement 1,000 sf
Emeraency egress below JTAde
Basement stairs closed rM>4 inches
Garage F1oor'Pitched
Garage fireproofing&4hour fire door/door closer
Duct work Sealed •r erl
Gas Logs in Seale or Glass Enclosure
Attic access 30 in. 22 in.x 30 in,(ht.)In accessible area
Crawl S aces "x 24"access, 1 s . ft.-150 s . ft.vents
Building Norl Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
" $ SZoa o _
A\ MA
LIJ "I have seen or observed, or believe I saw evidence of,
all ob•e('N such as houses, wells,trees, fences, etc.,
shown of :-`. document, i also represent that 1 have
4 " personally in-asured the distances set forth on the.diagrti,
SIGNOURE DATI loot
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